Provider Demographics
NPI:1649098195
Name:RODRIGUEZ LOPETEGUI, AGNIOSKA DE LA CARIDAD
Entity type:Individual
Prefix:
First Name:AGNIOSKA
Middle Name:DE LA CARIDAD
Last Name:RODRIGUEZ LOPETEGUI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13757 SW 152ND ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-8125
Mailing Address - Country:US
Mailing Address - Phone:305-251-5390
Mailing Address - Fax:305-675-3923
Practice Address - Street 1:13757 SW 152ND ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33177-8125
Practice Address - Country:US
Practice Address - Phone:305-251-5390
Practice Address - Fax:305-675-3923
Is Sole Proprietor?:No
Enumeration Date:2024-10-02
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes126800000XDental ProvidersDental Assistant